{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:25:33Z","timestamp":1787765133504,"version":"build-2784847793"},"reference-count":40,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hypokalaemia (K+&lt;3.5 mmol\/L) is observed in 20% of hospitalised patients. Previous studies have often dealt with the symptoms, prevalence and risk factors in hospitalised patients. Very few studies have dealt with hospital-induced hypokalaemia. The aim was to determine the incidence, predisposing risk factors and prognosis of patients developing hypokalaemia after admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A prospective observational study was performed for two months. Patients with at least two potassium values after admission and normal K values at admission were considered for inclusion. Clinical features, diagnoses, laboratory reports and treatment details, including antibiotics, were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 653 patients were studied; 138 (21.1%) developed hypokalaemia. Diabetes, ischaemic heart disease (IHD), heart failure, chronic kidney disease, hypertension, chronic liver disease and chronic obstructive pulmonary disease (COPD) were the most associated comorbidities. Urea, creatinine, transaminases and neutrophilia at admission differed significantly between those with and without hypokalaemia groups. Most patients developed mild hypokalaemia (78.2%). Hypokalaemia developed mostly on the second (22.4%) and third (24.6%) days of hospitalisation. Antibiotics were used in 60% of patients. The potassium values returned to normal within 2.5 \u00b1 1.9 days. Three patients subsequently developed hyperkalaemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients admitted under general medicine mostly developed mild hypokalaemia, even if they had multiple risk factors for developing hypokalaemia. Inpatient hypokalaemia had an incidence of 21%. An overwhelming majority (~88%) had at least one risk factor. Hypokalaemia was not attributed to causing mortality in any patient.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijem.ijem_159_23","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T05:02:13Z","timestamp":1705035733000},"page":"537-543","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Incidence, Risk Factors and Prognosis of Hypokalaemia in Patients with Normokalaemia at Hospital Admission"],"prefix":"10.4103","volume":"27","author":[{"given":"Jakka","family":"Bhargava","sequence":"first","affiliation":[{"name":"Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantari Nagar, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stalin","family":"Viswanathan","sequence":"additional","affiliation":[{"name":"Department of General Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantari Nagar, Pondicherry, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,11]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/j.1445-5994.2009.02146.x","article-title":"Prevalence of hypokalaemia:The experience of a large academic hospital:Letters to the Editor","volume":"40","author":"Lippi","year":"2010","journal-title":"Intern Med J"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"111","DOI":"10.4103\/ijcep.ijcep_43_17","article-title":"Potassium homeostasis, oxidative stress, and human disease","volume":"4","author":"Udensi","year":"2017","journal-title":"Int J Clin Exp Physiol"},{"key":"R3-20240828","first-page":"233","article-title":"Electrolyte disorders and arrhythmogenesis","volume":"18","author":"El-Sherif","year":"2011","journal-title":"Cardiol J"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1080\/00325481.2015.1045814","article-title":"Clinical perspectives on the rationale for potassium supplementation","volume":"127","author":"Weir","year":"2015","journal-title":"Postgrad Med"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/S0749-0704(01)00009-4","article-title":"Disorders of potassium homeostasis","volume":"18","author":"Gennari","year":"2002","journal-title":"Crit Care Clin"},{"key":"R6-20240828","first-page":"R135","article-title":"Hypokalemia:A clinical update. 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